Apply to work at The Arc Greater Hudson Valley

Pre-Application for Employment - Sullivan & Orange Counties Positions

Section I

Position applied for

Referred by

Social Media
Newspaper Advertisement
Radio
Friend or Relative
Discover The Rewards
Job Board
Other (Specify Below)

Please Specify if other

Section II

Last Name

First Name

Middle Name

Address

Street Address or PO Box

City

State

Zip Code

Phone

Best Time To Reach You

Are your work records under another name/names? If yes please specify

Please specify if yes

Have you previously filed an application with SullivanArc, Arc of Orange County, The Arc Sullivan-Orange Counties or The Arc Dutchess?

Have you previously been employed by The Arc Greater Hudson Valley, SullivanArc, The Arc of Orange County, The Arc Sullivan-Orange, or The Arc of Dutchess?

Are you 18 or over?

Schedule Desired:

(check all that apply):

Full Time
Part Time
Relief
Days
Nights
Evenings
Weekends

Are you legally eligible for employment in the U.S.A.?

Have you ever been convicted of a crime or have any pending charges and/or have a history of substantiated abuse on file in the OPWDD, OMH or DOH system? If yes provide date and specify below

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If yes to previous question provide date and specify here

Section III

License

Please be advised that employment offers will be conditional for those positions that require driving. No firm offer will be made until verification of your license and driving history has been completed. Do you currently have a valid NYS or Out of State driver's license?

If out of state, what state?

Job Application - Sullivan & Orange Counties